MARLIS LANGE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

MARLIS

Last Name

LANGE

Suffix

Business Name

MARLIS LANGE MD

Original Issue Date

08/23/2001

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

County

HAMILTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023